New Family Household Registration Form (For Families with Children ages 0-18)

New Family Household Registration Form (For Families with Children ages 0-18)

for 2025/2026 Ministry/School Year
Hello Willingdon Church Parents & Guardians! We are excited to welcome you and your child(ren) into our programs!

Please fill out the following information prior to your child's first time attending. This helps us to make sure that we have all the details we need to properly care for them, and to reach you as their parent/guardian if needed. It will also allow you to properly check-in your child/student for our regular events such as Sunday morning classes and weeknight youth events, as well as sign them up for special events!

Willingdon Church will keep your information on file for our own programming/ministry use, but we promise not to share it with others or to send you spam! Once you are registered and set up in our database, you are free to view your information or make changes at any time. Simply login to Church Ctr. via the following link. Church Center Login

For more information on how we use and protect your information please read our privacy policy

Household Primary Parent/Guardian Information (step1)

We must first update primary parental / guardian information to ensure your profile as a parent is accurate and current. The HOUSEHOLD PRIMARY adult is the person who will respond to communication from the church to your family.
Primary Parental/Guardian Contact Name*

Legal First NameMiddle NameLegal Last Name
(Optional) Preferred name

Preferred First NamePreferred Last Name

Household Primary Parent/Guardian Information (step 2)

Contact information
Primary Parental/Guardian Contact Email*

Confirmation Emailexample@example.com
Please ensure you provide an email that is accurate and checked frequently. We provide vital information concerning your child/student via email.
Primary Parental/Guardian Spoken Contact Language *
Primary Parental/Guardian Cell Phone Number*
Please enter a valid phone number we can use for emergency contact.
Primary Parental/Guardian - Is there a 2nd Ph. # you would like to have on file, like a work # or home # for you personally. (Not your spouse's #)
Please enter a valid phone number.
Primary Parental/Guardian 2nd Ph. # Type
Primary Parental/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Campus will you be attending regularly?*
Optional: Additional Profile Information.
Optional: Marital Status
Anniversary

MonthDayYear
Date

Connect Your Spouse's Record to Your Household
Each Adult over 19+ must create their own Willingdon Church Planning Center profile. Unfortunately, a spouse cannot consent on behalf of another person to allow their information to be used at Willingdon.

Creating their own profile is particularly important if each person in your household donate or participate in different types of groups at Willingdon Church.

For spouses, we can link your spouse's records to your profile and add them to the household if their profile exists. We will need three pieces of identifying information to link their record: full name, phone number, address and/or email address.
Connect Spouse to Household?

Please connect my spouse's record to our householdNot at this time
Spouse Name (Required for Record Connection)

Legal First nameLegal Last Name
Relationship to you

WifeHusband
Phone Number of Spouse (Required for Record Connection)
Please enter a valid phone number.
Second piece of information to connect record*

Use Email used by spouse in their Planning Center ProfileMatch my physical address to their address which will be/is listed in spouse's Planning Center Profile
I consent and understand the information I am providing above will be stored by Willingdon Church for ministry purposes only and will not be shared with any outside parties.*
Email that matches the email used in their Planning Center profile

Confirmation Emailexample@example.com

Profile and Household Information Submission
Date

MonthDayYear
Date
I consent and understand the information I am providing above will be stored by Willingdon Church for ministry purposes.

I consent
Willingdon Church will not provide your information to third parties. Information about Willingdon Church's Privacy Policy and Data Storage is available online at willingdon.org/data-privacy-security
New Mobile Pass for families
You have the option to use our mobile pass for checking in your children to our Children's Ministry Sunday morning classes. This is for children age 0 to Gr. 5.

If you select yes, we can email you the mobile pass which you can then download to your phone to use for checking in.

This can help the check-in process go a lot quicker on Sunday mornings.
Yes, please email me a mobile pass

yes
Should be Empty:

Household Primary Parent/Guardian Information (step1)